Wanda Elozegui Alfonso, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME107639 Issued in FL

Practice address

2664 Tamiami TRL E
Naples, FL 34112-5707

Phone

(239) 428-1010

Fax

(239) 734-6342

NPI assigned

Aug 29, 2008

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Miami Hospital Hospital, Miami, FL, CCN 100154

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Criticare Clinics Inc

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1508871948
  Medicare reassignment Care Compare group NPD
• Florida Health Centers of Naples, LLC

  • Clinic/Center
  • Naples, FL
  • NPI 1144002080

  Family Medicine

  Medicare reassignment NPD
• Wanda Elozegui, Mdpa

  • Family Medicine Physician
  • Naples, FL
  • NPI 1316707052
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1821246133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341125707",
            "telephone_number": "239-428-1010",
            "fax_number": "239-734-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341125707",
            "telephone_number": "239-428-1010",
            "fax_number": "239-734-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELOZEGUI ALFONSO",
        "first_name": "WANDA",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher S Ellis, PT, DPT
• Emily Michelle Ellis, ARNP
• Lisa Marie Ellsworth, RN
• Hany Medhat Badie Mohamed Elmahdy, M.D.
• Eloquent Eyes LLC
• Elsa Espinosa Page
• Zachary Michael Elstad, M.D.
• Frank Michael Elterman, D.O.
• Elton W Lehew MD
• Danielle Elverd, LMT

• Family Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.